Some pelvic pain in women may be as a result of endometriosis, which is a commonly misdiagnosed condition due to it’s complexity and involvement with several areas of the body.
Pudendal Neuralgia includes pain with sitting, genital pain, tailbone pain, as well as urinary, bowel and/or sexual dysfunction.
Pelvic pain in Men
In addition to the pain that may result from inflammation of the prostate (prostatitis mentioned above), a number of other conditions can result in pain in the groin or pelvic area.
Pudendal Neuralgia/Pudendal Nerve Entrapment
The pudendal nerve is the main nerve that supplies the pelvic floor, genitals, and anus with sensation and muscle control. If this nerve becomes injured or entrapped by scarring, the result can include pain or a burning sensation in testicles and/or tip of penis. Pain is most often worse with sitting.
Orchialgia is the term used for chronic pain in one or both testicles. Chronic is defined as pain lasting longer than 3 months. The cause is not always known, but it can result from any of the following conditions:
- Testicular torision
A painful penis may be due to a number of conditions including injury and infection as well as circumcision and sexually transmitted diseases, such as herpes. Pain may be experiences internally or externally and at any point along the shaft or head of the penis.
The area between the scrotum and the opening of the anus is called the perineum. Pain, tightness, or numbness may be experienced in this region as a result of scarring, infection, nerve entrapment, surgery, or injury.
Cancer of the prostate, bladder, bowel, or sexual organs may result in pain of the pelvic region. Pain may be worse with sitting. Bladder cancer can be accompanied by blood in the urine, or hematuria.
Proctalgia fugax is intermittent pain of the rectum most often caused by a spasm of the surrounding muscles. It is often fleeting and may be experienced as pain or a burning sensation. It is often eased by sitting on the toilet and bearing down.